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Home My WebLink About147 Meadow Blvd (2)r Permit # Job Address: liJeCL O z CITY OF SANFORD PERMIT APPLICATION .Description of Work: Historic District: Zoning: slue of Work: lrCirC -I-7U-5 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of PS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Call:. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial Occupancy Type: Residential ✓ Commercial Construction Type: Industrial Total Square Footage: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: C t Contractor Name & Address:De`Q% Phone & F=A -n S3CJ= Bonding Company: Address: I-f—(0-rr—b►-'l I b 3D--7 —7 1 i r l O► �� t iCUQ— S -f I L tJ 7qC�Contact Person: (Attach Proof ofOwn rship & Le al Description) 4-1 ryl-e t oLo l V I Phone: 14 � --3 Q State License Number zP---NaQ nail' Mortgage Lender. Address: Architect/Englaeer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installationhas commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT rN S'OtTR. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance Of tis rifrcation that l will ao the ower of the property of the Signature of Owner/Agent Date i Date Notary Public - State of Florida W Commission Expires Sep 11, 2007 Cptpmolpn # DD237102 APPLICATION APPROVED BY: Bldg `J�O<I Zoning: (Initial & Date) Special Conditions: Law, FS 713. of Contractor/Agents / % // Date ,,•, IAN J O'CONNELL ,'pY P�" ry Public -State of Florida 2� � Nt issionEoesSepl 1,2007 —Pr u Contractor/ s O nsTUNWI M37102 od't� oQ=.�' ^� �,• faNAssn. (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) r LIMITED POWER OF ATTORNEY Delphini Construction.Company General Contractor—Roofing Contractor Date: I hereby name and appoint �R� �-�1 C Ln�0�LPHINI CONSTRUCTION PP to be my lawful attorney in fact to act for me to apply for a roofing permit in the SSA t-� K.Lfor the project'titled Ij --- I f -' eA QoQ\! and to do all things necessary to this process. Kevin Ohlhues Vice president, Delphini Construction License # CCC 056380 Acknowledged A - Sworn and subscribed before me this day Ohlhues who is personally known to me. Notary Public Seminole County State of Florida 004 by Kevin BRIAN J O'CONNELL nlntnry Public - State of Flodda My Commission E>#es Sep 11, 2007 Commission # DD237102 Bonded By National Notary Asan. Brian J. OConnell (407) 830-7447 Pager / Voice Mail (407) 974-6295 Please call if you have any questions Fax: (407) 830-7429 845 Sunshine Lane Altamonte Springs, Florida 32752 Licenses # CGC 017860 & CCC 056380 This instrument Prepared By: Name Address �'� ��WCa UI f_C Permit No. 11111111 Is Ila it W 11 Rai II 11® it 111®I 111 II I®®11111 ii 181 18 111 1 111i MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 05479 PG 0604 CLERKIS # 2004157206 RECORDED 10/11/2004 1005;52 AM RECORDING FEES 10.00 RECORDED BY t holden NOTICE OF COMMENCEMENT STATE OF F&0f'i d 4 COUNTY OF S;�F7n twi: ,E Tax Folio No. THE. UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of property, and street address if available) I LA `1 fY)tE!-A-Z)OUj Lv 1� � -s ►, e— i--) t 2. General description of improvement: V� 3. Owner information F L-�� , �i �-e -I—v- o �v � o a. Name and address: 9, L VCS b. Interest in property: Z'7 -7 c. Name and address of fee simple titleholder (if other than owner): Contractor: . Name and address:Ys b. Phone number: L_Tv A - to,- I :n S � _ L 3 Z%1 y c. Fax number (optional, if service by fax is acceptable): Uf o i S 3 O - -7 Y 1/7 5. Surety TIFIED C®PI lq a. Name and address:WIpRYANNE N MOS If CIRCUM Cti11RT b. Amount of bond $ K B c: Phone number: 6E 1 d. Fax number (optional, if service by fax is acceptable): 6. Lender Cb UTY , a. Name and address: J` �A �C b. Phone number: c. Fax number (optional, if service by fax is acceptable): i. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided Ili section 713.13(1)(a)7., Florida Statutes: a. Name and address: q b. Phone number: c. Fax number (optional, if service by fax is acceptable): 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: c. Fax number (optional, if service by fax is acceptable): 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Sworn to and subscribed before me by feler�' Signature of OwnJ1 'mil who is personally known to me or prW,,cdas ide cati and who ce i Owner's Name%1- /c--/,/:7 � ✓�a�� an oath, this day of Signature of Notary Printed name of Notary= Commission No./Expiration: Seal: - , TR -IA -NJ O'CONNELL y/Public - State of Flodda ;rrmisdonEwkesSep'11,2007 Bonded By National Notary Assn. Owners Address: ALL INFORMATION MUST 13E TYPED OR PRINTED LEGIBLY TO COMPLY WITH RECORDING REQUIREMENTS.